Gheith Osama Ashry, El-Saadany Samia Ali, Abuo Donia Shadia Ahmed, Salem Yusria Mouhamed
Nephrology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
Int J Nurs Pract. 2008 Oct;14(5):398-407. doi: 10.1111/j.1440-172X.2008.00710.x.
Successful management of kidney transplant patients requires lifelong therapeutic regimen. Lifestyle changes of the patients after transplantation is the key link between the process of transplantation and its outcome, which is why those patients are in great need for complying with their recommended lifestyle behaviours. The aim of the study was to identify compliance of kidney transplant patients to the recommended lifestyle behaviours. One hundred adult kidney transplant patients of 6 months duration and more participated in this study regardless of age or sex. A structured questionnaire was developed which included socio-demographic characteristics, the recommended lifestyle behaviours of the kidney transplant patients and the kidney transplant patient's health condition and his results from the laboratory tests. The time spent with each patient ranged between 45 and 60 min. About three or four patients were interviewed on each visit. The results found that patients have good compliance with immunosuppressive agents with partial degree to other lifestyle behaviours. The conclusion is that intensive assessment of patients before and after transplantation should be done to identify their needs which help to improve their compliance. The nurse must provide the kidney transplant patients with the necessary knowledge of the recommended lifestyle behaviours.
成功管理肾移植患者需要终身治疗方案。患者移植后的生活方式改变是移植过程与其结果之间的关键环节，这就是为什么这些患者非常需要遵守推荐的生活方式行为。本研究的目的是确定肾移植患者对推荐生活方式行为的依从性。一百名移植时间持续6个月及以上的成年肾移植患者参与了本研究，不分年龄或性别。设计了一份结构化问卷，内容包括社会人口学特征、肾移植患者推荐的生活方式行为、肾移植患者的健康状况以及实验室检查结果。与每位患者交流的时间在45至60分钟之间。每次访视约采访三或四名患者。结果发现，患者对免疫抑制剂的依从性良好，但对其他生活方式行为的依从性为部分程度。结论是，应在移植前后对患者进行强化评估，以确定他们的需求，这有助于提高他们的依从性。护士必须向肾移植患者提供推荐生活方式行为的必要知识。
